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Normothermic Machine Perfusion of Rat Kidneys for Transplantation

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Renal replacement therapy in Nepal.

Padam Hirachan¹, Tirtha Kharel, Dibya S Shah

¹Advocate Illinois Masonic Medical Center, Chicago, Ilinois, USA. hirachan3@hotmail.com

Hemodialysis International. International Symposium on Home Hemodialysis

|October 20, 2010

Summary

Nepal

Area of Science:

Nephrology
Public Health
Healthcare Access

Background:

Limited renal replacement therapy (RRT) in Nepal.
Hemodialysis machines are scarce (97 for 29 million people).
Geographic and transportation barriers hinder access to care for rural populations with end-stage renal disease.

Purpose of the Study:

To review current renal replacement therapy statistics in Nepal.
To explore solutions for increasing renal care accessibility.
To assess the potential of peritoneal dialysis (PD) in rural Nepal.

Main Methods:

Review of current statistics on dialysis patients, hemodialysis, and renal transplantation in Nepal.
Analysis of the Mexican PD model and government funding strategies.

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Exploration of adapted PD models for rural, mountainous regions.

Main Results:

Significant unmet need for RRT in Nepal.
Hemodialysis capacity is critically low.
Peritoneal dialysis, adapted from the Mexican model with government support, shows promise for rural Nepal.

Conclusions:

Current RRT in Nepal is insufficient.
Peritoneal dialysis offers a viable solution for expanding renal care in rural Nepal.
Government support and adapted PD models are crucial for improving renal healthcare access.